| National Provider Identifier [NPI]: | 1376562314 |
| Last Name Of The Provider | KORR |
| First Name Of The Provider | KENNETH |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 208 COLLYER ST |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | PROVIDENCE |
| Zip Code Of The Provider | 02904 |
| State Code Of The Provider | RI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 45 |
| Number Of Services | 9473 |
| Number Of Medicare Beneficiaries | 4473 |
| Total Submitted Charge Amount | 662950.65 |
| Total Medicare Allowed Amount | 204747.74 |
| Total Medicare Payment Amount | 155981.89 |
| Total Medicare Standardized Payment Amount | 145530.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 9473 |
| Number Of Medicare Beneficiaries With Medical Services | 4473 |
| Total Medical Submitted Charge Amount | 662950.65 |
| Total Medical Medicare Allowed Amount | 204747.74 |
| Total Medical Medicare Payment Amount | 155981.89 |
| Total Medical Medicare Standardized Payment Amount | 145530.35 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 699 |
| Number Of Beneficiaries Age 65 to 74 | 1404 |
| Number Of Beneficiaries Age 75 to 84 | 1304 |
| Number Of Beneficiaries Age Greater 84 | 1066 |
| Number Of Female Beneficiaries | 2470 |
| Number Of Male Beneficiaries | 2003 |
| Number Of Non Hispanic White Beneficiaries | 3736 |
| Number Of Black or African American Beneficiaries | 254 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 335 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 107 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3131 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1342 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7768 |